Individual
DR. MICHAEL OWEN FERGUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3024 NEW BERN AVE STE 200, RALEIGH, NC 27610-1247
(919) 350-7856
(919) 350-1635
Mailing address
2920 HIGHWOODS BLVD, RALEIGH, NC 27604-0010
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0099-01404
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8913022
—
NC
Enumeration date
08/05/2006
Last updated
02/23/2021
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